Rhomboid fl ap: An option to medial canthal reconstruction

The medial canthus is the second most common location for periorbital basal cell carcinomas [1]. The medial canthal region represents a multicontoured area with great variation in skin thickness, color, texture, and appendage density, and it includes contributions from the orbital and tarsal portions of the upper and lower eyelids, the nasal sidewall, the glabella [2], brow, cheek [3], the bony attachments of the medial canthal tendon, the lacrimal puncta, and arteriovenous and neural bundles that supply and innervate the region [4]. The surgical medial canthus is much larger than the anatomical medial canthus, and extends vertically into the sub-brow region, medially to the side of the nose and close to the midline, and inferiorly onto the cheek [3].